This Article
Right arrow Full Text (PDF)
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowReprints and Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Frey, C.
Right arrow Articles by Greenidge, N.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Frey, C.
Right arrow Articles by Greenidge, N.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Technorati  
What's this?

The Journal of Bone and Joint Surgery, Vol 72, Issue 6 884-888, Copyright © 1990 by Journal of Bone and Joint Surgery, Inc

JOURNAL CONTENTS

Vascularity of the posterior tibial tendon

C Frey, M Shereff and N Greenidge
Department of Orthopaedic Surgery, University of Southern California, Los Angeles.

Operative exploration of ruptures of the posterior tibial tendon has revealed a relatively constant site of damage just posterior and distal to the medial malleolus. It has been hypothesized that the stress that is applied to the tendon as it passes under the medial malleolus may compromise the vascularity of the tendon in this area, a process that is similar to that described for the supraspinatus tendon. In order to evaluate this possibility, we studied the vascularity of the posterior tibial tendon. We injected twenty-eight cadaveric limbs with an India ink-gelatin mixture and cleared them using a modified Spalteholz technique. The gross external and internal vascularity were drawn, and the specimens were photographed. The vascularity of the tendons was noted to be abundant at the osseous insertion and the musculotendinous function of the tendon. There was a zone of hypovascularity posterior and distal to the medial malleolus in all specimens. The results of this study suggest that relative avascularity and resulting degenerative changes may be predisposing factors in rupture of the posterior tibial tendon, and that they have important implications in terms of the operative management of the rupture.
Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 Rheumatology (Oxford)Home page
J. D. Rees, A. M. Wilson, and R. L. Wolman
Current concepts in the management of tendon disorders
Rheumatology, May 1, 2006; 45(5): 508 - 521.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
Y.-J. Ju, H. Tohyama, E. Kondo, T. Yoshikawa, T. Muneta, K. Shinomiya, and K. Yasuda
Effects of Local Administration of Vascular Endothelial Growth Factor on Properties of the in Situ Frozen-Thawed Anterior Cruciate Ligament in Rabbits
Am. J. Sports Med., January 1, 2006; 34(1): 84 - 91.
[Abstract] [Full Text] [PDF]

Home page
 Emerg. Med. J.Home page
A P Foster, N W Thompson, M D Crone, and A P Charlwood
Rupture of the tibialis posterior tendon: an important differential in the assessment of ankle injuries
Emerg. Med. J., December 1, 2005; 22(12): 915 - 916.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
M. S. Mizel, P. J. Hecht, J. V. Marymont, and H. T. Temple
Evaluation and Treatment of Chronic Ankle Pain
J. Bone Joint Surg. Am., March 1, 2004; 86(3): 622 - 632.
[Full Text] [PDF]

Home page
 J. Am. Podiatr. Med. Assoc.Home page
R. J. Zirm
Tendon Reconstruction in Posterior Tibial Tendon Dysfunction
J Am Podiatr Med Assoc, November 1, 2002; 92(10): 570 - 574.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
G. C. POMEROY, R. H. PIKE, T. C. BEALS, and A. MANOLI
Current Concepts Review - Acquired Flatfoot in Adults Due to Dysfunction of the Posterior Tibial Tendon
J. Bone Joint Surg. Am., August 1, 1999; 81(8): 1173 - 82.
[Full Text]

Home page
 JBJSHome page
M. S. MYERSON
Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Adult Acquired Flatfoot Deformity. Treatment of Dysfunction of the Posterior Tibial Tendon*{{dagger}}
J. Bone Joint Surg. Am., May 1, 1996; 78(5): 780 - 92.
[Full Text]